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General NPI Number Information
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NPI Number | 1467991794
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Entity Type | Organization
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Legal Business Name | STEPHANIE TRIANA, PH.D.
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 1846 LOCKHILL SELMA RD 106
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City | SAN ANTONIO
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State | TX
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Zip | 78213-1570
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Country | US
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Telephone | 210-663-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 21015 LA PENA DR 106
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City | SAN ANTONIO
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State | TX
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Zip | 78258-2935
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Country | US
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Telephone | 210-663-9800
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | STEPHANIE TRIANA
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Credential | PH.D.
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Telephone | 210-663-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 36505
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License Number State | TX
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